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231226s2022 xx |||||o 00| ||eng c |
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|a 10.1016/j.jseint.2022.08.001
|2 doi
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|a pubmed24n1162.xml
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|a (DE-627)NLM348670508
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|a (NLM)36353437
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|a DE-627
|b ger
|c DE-627
|e rakwb
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|a eng
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| 100 |
1 |
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|a Mehta, Nabil
|e verfasserin
|4 aut
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| 245 |
1 |
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|a Travel distance does not affect outcomes after total shoulder arthroplasty
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|c 2022
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|a Text
|b txt
|2 rdacontent
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|a ƒaComputermedien
|b c
|2 rdamedia
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| 338 |
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|a ƒa Online-Ressource
|b cr
|2 rdacarrier
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|a Date Revised 11.11.2022
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|a published: Electronic-eCollection
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|a Citation Status PubMed-not-MEDLINE
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|a © 2022 The Author(s).
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|a Background: The purpose of this investigation was to determine the effect of travel distance on achieving the minimal clinically important difference (MCID) on all three commonly used patient-reported outcome measures (PROMs) for the shoulder more than 1 year following total shoulder arthroplasty (TSA)
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|a Methods: Patients undergoing reverse or anatomic TSA at a high-volume tertiary referral center between September 2016 and August 2018 were retrospectively reviewed. Patients were divided into 2 groups: driving distance of >50 miles from the location of surgery (referral group) and driving distance of <50 miles (local group). Scores on preoperative and postoperative PROMs, including American Shoulder and Elbow Surgeons (ASES) score, Single Assessment Numeric Evaluation (SANE) score, and Constant Score (CS) at minimum 1-year follow-up were assessed. Chi-square analysis was used to analyze the achievement of MCID on any PROM or a combination of PROMs. Logistic regression was performed to determine whether travel distance and other variables of interest had an effect on achieving MCID on all three PROMs
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|a Results: A total of 214 patients with minimum 1-year follow-up were included in the final analysis. Of these, 165 patients (77.1%) traveled <50 miles to their orthopedic provider at the time of surgery. The local group demonstrated significantly inferior preoperative SANE scores (P < .001) and significantly higher postoperative ASES scores (P = .001). A total of 166 (77%) patients achieved all three MCIDs postoperatively. There was no significant difference between distance groups for achievement of all MCIDs (P = .328). On multivariable regression, body mass index > 30 (odds ratio [OR], 5.78; 95% confidence interval [CI], 1.53-30.28), worker's compensation status (OR, 16.78; 95% CI, 2.34-161.39), and higher preoperative ASES score (OR, 1.04; 95% CI, 1.01-1.07) were associated with an increased risk of failure to achieve all MCIDs (P < .05). Age, adjusted gross income, private insurance, and travel distance were not significantly associated with failure to achieve all MCIDs
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|a Conclusions: After controlling for age, sex, and adjusted gross income, distance traveled to a high-volume referral center did not have an effect on achieving the MCID on all three commonly used PROMs for the shoulder at least 1 year after undergoing TSA. Elevated body mass index, worker's compensation status, and higher preoperative ASES score were associated with an increased risk of failure to achieve all MCIDs after TSA
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|a Journal Article
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|a Distance traveled
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|a Minimal clinically important difference
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|a Patient-reported outcomes
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|a Reverse total shoulder arthroplasty
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|a Total shoulder arthroplasty
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| 650 |
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|a Value-based care
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| 700 |
1 |
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|a Lavoie-Gagne, Ophelie Z
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Diaz, Connor C
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Cohn, Matthew R
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Garrigues, Grant E
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Nicholson, Gregory P
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Verma, Nikhil N
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Forsythe, Brian
|e verfasserin
|4 aut
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| 773 |
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|g 6(2022), 6 vom: 15. Nov., Seite 903-909
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|u http://dx.doi.org/10.1016/j.jseint.2022.08.001
|3 Volltext
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